ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale: The correct answer is D: "You don't have to go through with the treatment." This response respects the client's right to change their mind even after giving initial consent. It upholds the principle of autonomy and informed decision-making in healthcare.
Choices A and B do not acknowledge the client's right to withdraw consent and could potentially pressure the client.
Choice C, while empathetic, does not address the client's statement directly. Summarily, choices A, B, and C do not prioritize the client's autonomy and respect for their decision-making.
Question 2 of 5
A nurse is providing discharge teaching to the partner of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: How to operate the portable suction machine. This is important because maintaining a patent airway is crucial for a client with a tracheostomy. Suctioning helps to remove secretions and prevent blockages. Teaching the partner how to operate the suction machine ensures that they can assist in emergencies and daily care.
Choice B (How to secure the tracheostomy tube with ties at the back of the neck) is incorrect because securing the tube is important, but it is typically done by healthcare professionals initially and may not need to be done daily by the partner.
Choice C (How to change the nondisposable tracheostomy tube daily) is incorrect because changing the tracheostomy tube is a sterile procedure that should be done by healthcare professionals, not the partner.
Choice D (How to change the tracheostomy dressing using clean technique) is incorrect because changing the dressing is also typically done by healthcare professionals and requires sterile technique, not just
Question 3 of 5
A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first?
Correct Answer: B
Rationale: The correct answer is B. The nurse should assess the client with a hip fracture and new onset of tachypnea first because tachypnea could indicate a potentially life-threatening condition such as a pulmonary embolism or hypoxia. Assessing this client first ensures prompt detection and intervention for any respiratory compromise. Clients with epidural analgesia and weakness in lower extremities (
A) may need assessment for neurovascular compromise but are not in immediate danger. Clients with sinus arrhythmia (
C) on cardiac monitoring and diabetes mellitus with HbA1C of 6.8% (
D) require monitoring and management but do not present an immediate threat to their health.
Question 4 of 5
A nurse is contributing to the plan of care for a client who practices Islam. Which of the following questions should the nurse ask the client to clarify her religious preferences?
Correct Answer: C
Rationale: The correct answer is C: Do you consume pork products? This question is important as pork is forbidden in Islam. By asking this, the nurse can understand the client's dietary restrictions based on her religious beliefs.
Choice A is incorrect as Holy Communion is a Christian practice.
Choice B is related to Judaism, not Islam.
Choice D is about blood transfusion, which is a different aspect of religious beliefs. Other choices are irrelevant to the client's religious preferences. In summary, the correct question about pork products directly addresses the client's religious dietary restrictions, making it the most appropriate choice.
Question 5 of 5
A nurse is assessing a client immediately following a cardiac catheterization. The nurse should notify the provider for which of the following findings?
Correct Answer: C
Rationale: The correct answer is C: Bounding pulses in the affected extremity. This finding could indicate arterial occlusion, a serious complication post-cardiac catheterization that requires immediate intervention to prevent tissue damage or loss of limb. Discomfort at the insertion site (
A) is expected and can be managed with analgesics. Heart rate of 90/min (
B) is within normal range. Hematoma over the insertion site (
D) is a common minor complication that may resolve on its own.